Organization Active NPI

Alabama Home Respiratory Inc

  • Oxygen Equipment & Supplies (DME)
  • Greensboro, AL
National Provider Identifier
1225158926
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
692 Issued in AL
Legal business name
ALABAMA HOME RESPIRATORY INC
Practice address
1207 Main St
Greensboro, AL 36744-1502
Phone
(334) 624-0511
Fax
(334) 624-0509
NPI assigned
Mar 29, 2007
Last updated
Oct 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sonja Jockisch-Davis, CRTNPI 1669592283
Title
President/ Respiratory Therapist
Phone
(334) 624-0511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 692 AL Primary

Addresses

Primary practice location

1207 Main St
Greensboro, AL 36744-1502

Mailing address

1207 Main St
Greensboro, AL 36744-1502
Phone (334) 624-0511

Other identifiers 2

IdentifierTypeStateIssuer
009600290MedicaidAL
510 50306OtherALBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1207 Main St
Greensboro, AL 36744
Phone (334) 624-0511

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1225158926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 MAIN ST",
            "city": "GREENSBORO",
            "state": "AL",
            "postal_code": "367441502",
            "telephone_number": "334-624-0511",
            "fax_number": "334-624-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 MAIN ST",
            "city": "GREENSBORO",
            "state": "AL",
            "postal_code": "367441502",
            "telephone_number": "334-624-0511",
            "fax_number": "334-624-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA HOME RESPIRATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "JOCKISCH-DAVIS",
        "authorized_official_first_name": "SONJA",
        "authorized_official_title_or_position": "PRESIDENT/ RESPIRATORY THERAPIST",
        "authorized_official_telephone_number": "334-624-0511",
        "authorized_official_credential": "CRT"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AL",
            "license": "692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009600290",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "510 50306",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.